Is psychotherapy effective for reducing suicide attempt. Results indicate that clients who participate in humanistic therapies show, on average, large amounts of change over time. Effectiveness and acceptability of cognitive behavior. The aim of our metaanalysis therefore was to examine the effectiveness of psychotherapy for patients with strictly defined.
The present study also does not explore the use of mobile technologies as a method for maintaining treatment gains after services have terminated. Mar 16, 2019 depression is common in patients with coronary artery disease cad and is associated with poorer outcomes and higher costs. This metaanalysis addressed the question of how effective grief therapy is and for whom, using b. Three of these studies compared acupuncture monotherapy to. The most commonly studied types of psychotherapy are. For example, in their metaanalysis of psychotherapy for ptsd, bradley, greene, russ, dutra, and westen 2005 report mean improvement rates of 37. A metaanalysis was conducted of studies that used random assignment to test the effectiveness of mt. Comparisons from 11 studies demonstrated moodgyms effectiveness for depression symptoms at postintervention, with a small effect size g 0. The effectiveness of longterm psychoanalytic psychotherapya. This metaanalysis shows that net is effective in the reduction of ptsd and depression symptoms across diverse, predominantly waraffected refugee populations. A comprehensive metaanalysis on nonpharmacological interventions by stoffers et al. Effectiveness of ehealth interventions for reducing mental health conditions in employees.
What metaanalyses have and have not taught us about. The comprehensive metaanalysis software package, v. Objective to examine the effects of ltpp, especially in complex mental disorders. In randomized clinical trials with untreated control clients, clients who participate in humanistic therapies generally show substantially more change than. Efficacy of psychotherapies for borderline personality disorder. The effectiveness longterm psychoanalytic psychotherapy ltpp has been debated. Interpersonal psychotherapy for mental health problems. Two recent meta analyses suggest that the effectiveness of ltpp is demonstrated.
Dobsona metaanalysis of the efficacy of cognitive therapy for depression. Cost effectiveness of guided internetbased interventions for depression in comparison with control conditions. Medication versus traumafocused psychotherapy for adults. The small number of quantitative meta analyses might be due to the fact that the single intervention studies are dif. Solutionfocused brief therapy demonstrated small but positive treatment effects favouring sfbt group on the outcome measures. Based on this, its been estimated that psychotherapy is effective for about 80 per cent of people meanwhile, between five to 10 per cent of clients may suffer adverse effects. Beckers 1988 techniques for analyzing standardized meanchange scores. The analysis revealed an overall effect size that points to a large size improvement effect similar to or better than that commonly reported for group psychotherapy in general of 0. Comparative efficacy of individual and group psychotherapy. Effectiveness of a freely available computerised cognitive. Multisystemic therapy mst is a wellestablished intervention for juvenile delinquents andor adolescents showing social, emotional and behavioral problems. The current study is a metaanalysis of randomized controlled trials comparing group psychotherapy for bpd with treatment as usual tau. Following in his footsteps, we have just completed a major project to integrate 60 years of research on the effectiveness of personcentred and related. We conducted a meta analysis examining randomized controlled trials rcts of cbm for substance addiction outcomes.
Network metaanalysis of randomised trials of pharmacological. As such, the results of this meta analysis do not indicate whether or not there are longterm benefits to implementing mobile technology in psychotherapy and other behavior health services. A metaanalysis rebecca n collins, msc department of clinical psychology, university of east anglia, norwich, uk. Effects of psychosocial interventions on quality of life. Comparative efficacy of seven psychotherapeutic interventions for.
Cronbachdesigning evaluations of educational and social programs. Research report adding psychotherapy to antidepressant medication in depression and anxiety disorders. A total of 22 randomised controlled trials met inclusion criteria, with. Longterm efficacy of psychotherapy for posttraumatic stress. Adding psychotherapy to antidepressant medication in. Massage therapy mt is an ancient form of treatment that is now gaining popularity as part of the complementary and alternative medical therapy movement. Effectiveness of ehealth interventions for reducing mental. Metaanalysis of the efficacy of treatments for posttraumatic. Question which cognitive behavior therapy delivery format is most effective and acceptable for the treatment of acute depression findings in this network metaanalysis of 155 trials involving 15 191 patients, no statistically significant differences in effectiveness were found among individual, group, telephone, and guided selfhelp treatment formats, although acceptability may. Therapy proved rnore effective for children than for adolescents, particularly when the. Examining the effectiveness of solutionfocused brief. A multilevel metaanalysis of k 22 studies, containing 332 effect sizes, consisting of n 4066 juveniles, was conducted to examine the effectiveness of mst. Efficacy of psychotherapies for borderline personality. The metaanalysis suggested counselling was effective for mixed anxiety and depression d0.
In a meta analysis, we examined factors that could account for the differences in therapist efficacy evidenced in psychotherapy outcome studies. A comprehensive meta analysis on nonpharmacological interventions by stoffers et al. An earlier metaanalysis of eight randomized controlled trials rct. Question which cognitive behavior therapy delivery format is most effective and acceptable for the treatment of acute depression findings in this network meta analysis of 155 trials involving 15 191 patients, no statistically significant differences in effectiveness were found among individual, group, telephone, and guided selfhelp treatment formats, although acceptability may. Because group therapy is a viable costefficient treatment option being used with increasing regularity among diverse populations, and with varying.
Brief psychological therapies for anxiety and depression in. This metaanalysis evaluated enduring effects of psychotherapy for ptsd in. Our metaanalysis provides evidence that, in addition to pharmacological and neurostimulatory treatments, the inclusion of addon of psychotherapy to tau in guidelines for the treatment of trd is justified and will provide better outcomes for this difficulttotreat population. While many scientific studies have compared one psychotherapy with. A total of 22 randomised controlled trials met inclusion criteria. The effects of fifteen evidencesupported therapies for. For children and adolescents, interpersonal psychotherapy and cbt are the best methods according to a 2014 meta analysis of almost 4000 patients. Mar 25, 2019 a multidimensional metaanalysis of psychotherapy for ptsd. Metaanalysis of the effectiveness of internetbased psychotherapeutic interventions azy barak liat hen meyran bonielnissim naama shapira abstract. Metaanalysis was only possible for two interventions. Net was found to be superior to nonactive comparators and active nontf comparators. Psychology and mental health behavior therapy behavioral health.
Psychology and mental health behavior therapy behavioral health care behavioral. In this metaanalysis we examined the effects of 15 different types of psycho. Since then, numerous randomized controlled trials have shown that ipt is indeed effective in the treatment of depression, that it may be more effective than other psychotherapies for depression 4, 5, that it may prevent. In this article, we argue that metaanalysis is only one component of a good research synthesis. Reynolds iii7 1department of clinical psychology, vu university amsterdam, the netherlands. Analysis of therapist effects in psychotherapy outcome.
Single applications of mt reduced state anxiety, blood. Their meta analysis included all controlled studies n 31 published in english or german language between 1955 and 1994 that contrasted a psychosocial experimental condition with a pharmacologically or nonspecifically treated control group. For example, in their meta analysis of psychotherapy for ptsd, bradley, greene, russ, dutra, and westen 2005 report mean improvement rates of 37. Jan 01, 2002 presents a meta analysis of 86 studies on the effectiveness of humanistic therapies. The difference in point estimates between the metaanalysis of the two trials that were not high risk of bias and the metaanalysis of all four trials was due primarily to the high risk of bias popiel trial. To assess moodgyms effectiveness, we conducted random effects metaanalysis of identified randomised controlled trials. Mean effect sizes were calculated from 37 studies for 9 dependent variables. An es estimate for each measure used in a study was calculated with the dstat computer software package johnson, 1989 according to the withinstudy meta. A multidimensional metaanalysis of psychotherapy for ptsd. Effects of psychosocial interventions on quality of life in. Effectiveness of longterm psychodynamic psychotherapy a metaanalysis context the place of long termpsychodynamic psychotherapy ltpp within psy chiatry is controversial. A metaanalysis of the effectiveness of cognitivebehavioural. Have we overestimated the effectiveness of psychotherapy. We included moderator analysis to examine how outcomes differ based on group and patient characteristics.
Applied metaanalysis to 475 studies of the effectiveness of psychotherapy and 112 studies of the comparative effects of psychotherapy and psychoactive drugs. Clients in notreatment control groups showed little improvement d 0. Brief psychotherapy for posttraumatic stress disorders. Psychotherapy for depression in children and adolescents. To determine the effectiveness and safety of acupuncture for perimenopausal depression. The treatments include a variety of psychotherapies, medications, and somatic and complementary therapies. Across various outcome measures, the average treated youngster was better adjusted after treatment than 79% of those not treated. Personcentredexperiential therapies are highly effective. We searched the cochrane central register of controlled trials, pubmed, embase, cnki, vip citation databases, wan fang, and online trial registries such as clinicaltrials. Jurgen barth and colleagues use network metaanalysis a novel. A 2014 meta analysis over 11,000 patients reveals that interpersonal psychotherapy ipt is of comparable effectiveness to cbt for depression but is inferior to the latter for eating disorders. Eysenck, metaanalysis, natural history, psychotherapy effectiveness. The alliance continues to be one of the most investigated variables related to success in psychotherapy irrespective of theoretical orientation. Specialized psychotherapies for adults with borderline.
All analyses were conducted with spss 23 software using macros. Metaanalyses of effectiveness of psychotherapy suggest that most patients improve from therapy someone who was involuntarily committed to a mental hospital escapes and commits a murder. A metaanalysis was conducted to evaluate the effectiveness of solutionfocused brief therapy sfbt. The studies effect sizes were examinedthe standard mean difference on the outcome variable between the treated group. Network metaanalysis nma is an advanced technique in that it allows both direct comparisons as does pairwise metaanalysis, but also indirect comparisons for treatments that have not been made in a headtohead format, and is recommended when competing interventions are used 20,21,22,23,24,25. Journal of consulting and clinical psychology, 57 5, 607612.
Background and aims cognitive bias modification cbm interventions, presumably targeting automatic processes, are considered particularly promising for addictions. Effectiveness of acupuncture used for the management of postpartum depression. Mobile technology boosts the effectiveness of psychotherapy. Effectiveness and acceptability of cognitive behavior therapy. Methods studies were identified through systematic searches in bibliographical databases. It compares the effectiveness of different types of brief psychological therapies within primary care across and between disorders compared to treatment as usual. According to our funnel plot analysis, 24 of the 5 effect sizes 18% in our metaanalysis were larger than expected. Effectiveness of psychotherapy for severe somatoform disorder. However, their effectiveness is rarely examined in interventionspe cific meta analyses. Brief psychological therapies for anxiety and depression. In our meta analysis, the recovery rate was equal for ltpp and control treatments.
Efficacy of psychological therapy in schizophrenia. The most commonly studied types of psychotherapy are cognitivebehavioral therapies cbts, such as. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Metaanalysis of the effectiveness of psychological and. We conducted a metaanalysis examining randomized controlled trials rcts of cbm for substance addiction outcomes. Hierarchical linear modeling software was used to synthesize the primary studies to calculate an overall effect size estimate and test for betweenstudy variability. This difference was significant for major depression, panic disorder, and ocd.
Our search of the literature resulted in 26 empirical articles describing 25 clinical trials testing the benefits of smartphone applications, pdas, or text messaging systems either to supplement treatment or substitute for direct contact with a clinician. Interpersonal psychotherapy ipt is a structured, timelimited psychological intervention that was developed for the treatment of major depression in the 1970s 1, 2. Analyses were based on 35 studies n 2,284, with a weighted mean effect size es of. In a metaanalysis, we examined factors that could account for the differences in therapist efficacy evidenced in psychotherapy outcome studies. We found the evidence for the effectiveness of ltpp to be limited and conflicting. Convincing outcome research for ltpp has been lacking.
For example, a meta analysis on the effectiveness of moodgym yielded a smaller effect size of g 0. Meta analyses of effectiveness of psychotherapy suggest that most patients improve from therapy someone who was involuntarily committed to a mental hospital escapes and commits a murder. We define and illustrate the alliance also conceptualized as therapeutic alliance, helping alliance, or working alliance and then present a meta analysis of 295 independent studies that covered more than 30,000 patients published between 1978 and. Clinical psych psychotherapy social science flashcards.
Group psychotherapy for borderline personality disorder. Research report adding psychotherapy to antidepressant. Effectiveness of longterm psychodynamic psychotherapy. A metaanalysis of treatment effectiveness gemma battagliese a, b, maria caccetta a, olga ines luppino a, chiara baglioni a, c, valentina cardi a, d, francesco mancini a, carlo buonanno a a scuola di psicoterapia cognitiva s. The effectiveness of mindfulness and acceptancebased interventions for informal caregivers of people with dementia. Another metaanalysis of metaanalyses, which gives a sense of what level of effect sizes may be reasonable, as well as providing estimates of statistical power in metaanalysis. Interventions in nt trials were more similar to prevention programs than. In this metaanalysis, a total of 517 participants were selected. The current results also compare favourably in the context of other depressionfocussed internet interventions. Heterogeneity was investigated using forest plots and measured using the i 2 statistic, which estimates the percentage of total variation across studies that can be attributed to heterogeneity rather than chance. While the efficacy of traumafocused psychotherapy options has been.
Effectiveness of psychotherapy for severe somatoform. Heterogeneity between studies was moderate to high for the studies of depression i. Effectiveness of psychotherapy for treatmentresistant. Future directions for metaanalyses of psychotherapy outcome studies are discussed. Differences in clinical characteristics and methodological design. Treatment guidelines for borderline personality disorder bpd recommend psychotherapy as an important, if not essential, component of patient care. Effect of psychotherapy for depression on quality of life. The present study sought to explore systematically the relationships between improvement rates in group psychotherapy effect size and several treatment, therapist, client, and methodological variables using meta analytic techniques. The current study is a meta analysis of randomized controlled trials comparing group psychotherapy for bpd with treatment as usual tau. All of the patients were diagnosed with postpartum depression according to ccmdiii, hamd, or dsmiv criteria, except for two where clinical symptoms were used as the diagnostic criteria. Their metaanalysis included all controlled studies n 31 published in english or german language between 1955 and 1994 that contrasted a psychosocial experimental condition with a pharmacologically or nonspecifically treated control group. In a similar way wunderlich et al10 compared the effect sizes resulting from different psychosocial therapy approaches. Cognitivebehavioral therapy for externalizing disorders. Hierarchical linear modelling software was used to synthesize the primary studies to calculate an overall effect size estimate and test for betweenstudy variability.
We conducted a metaanalysis on the effects of mobile technology on treatment outcome for psychotherapy and other behavioral interventions. The question was addressed by metaanalysis of 108 welldesigned outcome studies with 418yearold participants. A meta analysis was conducted to evaluate the effectiveness of solutionfocused brief therapy sfbt. Presents a metaanalysis of 86 studies on the effectiveness of humanistic therapies. The effectiveness of inpatient group therapy was estimated in a metaanalysis of 24 controlled and. Arguably, the most important evidence comes from metaanalyses that combine the results from many sometimes hundreds of randomly controlled trials. Psychotherapy was also more effective than careasusual smd 0. Most frequent investigated treatments were cognitive behavior therapy, interpersonal psychotherapy, mindfulnessbased cognitive therapy, and cognitive behavioral analysis system of psychotherapy. Effectiveness and safety of acupuncture for perimenopausal.1309 1017 89 1206 888 1125 1266 709 370 462 912 335 94 20 1532 24 1208 246 1027 1306 768 721 1054 451 244 1347 454 677 805 579 40